Individual
ADELINE GANDIA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 SW 40TH ST STE 465, MIAMI, FL 33165-3340
(786) 873-6770
Mailing address
10121 SW 35TH ST, MIAMI, FL 33165-3830
(786) 873-6770
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55890
FL
103K00000X
Behavior Analyst
Primary
—
FL
106E00000X
Assistant Behavior Analyst
0-18-8744
FL
Other
Enumeration date
05/20/2016
Last updated
04/04/2026
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